CONTENTS Page INTFOGUCTION 2.0... eee e ec eeeete ee eeeee eet e enn e eens 1 Exposure Groups ..... 0. ec cee cee ete te eee teen ee enees 1 The Marshail Islands Medical Program.................0 sce ee eeeee 1 POHiCieS 2. cee eee cere etn ee eee eee een eeaee 1 Procedures ... 0.02. eee ee ccc ee ce eee erence ea tenes 3 Medical Findings........ 0.0... cece cece cece eee ence tebe ne ne teens 5 Overall Survival..... 0.0... e ccc cece eee nent eee teens 5 Causes of Recent Mortality............. 0... ccc cece cee enone 5 Rongelap... 2... cece ccc eee ete eee e eens 5 6 7 7 Nonthyroidal tumors ...... 0.0... cee cee eee eee Autoimmune Thyroid Injury .......... 0... ce eg ee eee eee eaees Noncancerous Thyroid Morbidity in Exposed Marshallese pees e cece Review of Cancers in the Comparison Population .................5. References 2.2... ccc eee een eet n en eeteeeeees APPeENdicES 2.0. ccc cee te teen neta teetcenee., 11 13 14 17 21 23 Thyroid nodules ............ cece cece eee ence tee eees 2008109 5 Utirik 2... ccc ce ete nee reece eee eee Comparison population ............ 0.0 cece eee nee e eens Laboratory Findings ................Lanne cece nee e nee eeeenees Neoplasms ......... 0.0.0. cc eect ence erence nnene 7